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Journal of clinical immunology · 2024

Description of BCG and Tuberculosis Disease in a Cohort of 79 Patients with Chronic Granulomatous Disease.

СтатьяНазвание и аннотация: Перевод в очереди
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León-Lara Ximena, Pérez-Blanco Uriel, Yamazaki-Nakashimada Marco A, Bustamante-Ogando Juan Carlos, Aguilar-Gómez Nancy, Cristerna-Tarrasa Hernán, Staines-Boone Aidé-Tamara, Saucedo-Ramírez Omar J, Fregoso-Zuñiga Eunice, Macías-Robles Ana-Paola, Canseco-Raymundo María R, Venancio-Hernández Marco, Moctezuma-Trejo Cristina, Gámez-González Berenise, Zarate-Hernández Carmen, Ramírez-Rivera Roselia, Scheffler-Mendoza Selma, Jiménez-Polvo Nancy, Hernández-Nieto Leticia, Carmona-Vargas Jocelyn, García-Cruz María L, Zavaleta-Martínez Óscar, Román-Montes Carla M, Cervantes-Parra Victoria, González-Reynoso Anelena, Guzmán-Cotaya Rogelio, Espinosa-Rosales Francisco, Saltigeral-Simental Patricia, Espinosa-Padilla Sara, Blancas Galicia Lizbeth

Аннотация

PURPOSE: Chronic granulomatous disease (CGD) is an inherited immunodeficiency caused by pathogenic variants of genes encoding the enzyme complex NADPH oxidase. In countries where tuberculosis (TB) is endemic and the Bacillus Calmette-Guérin (BCG) vaccine is routinely administered, mycobacteria are major disease-causing pathogens in CGD. However, information on the clinical evolution and treatment of mycobacterial diseases in patients with CGD is limited. The present study describes the adverse reactions to BCG and TB in Mexican patients with CGD.

METHODS: Patients with CGD who were evaluated at the Immunodeficiency Laboratory of the National Institute of Pediatrics between 2013 and 2024 were included. Medical records were reviewed to determine the clinical course and treatment of adverse reactions to BCG and TB disease.

RESULTS: A total of 79 patients with CGD were included in this study. Adverse reactions to BCG were reported in 55 (72%) of 76 patients who received the vaccine. Tuberculosis was diagnosed in 19 (24%) patients. Relapse was documented in three (10%) of 31 patients with BGC-osis and six (32%) of 19 patients with TB, despite antituberculosis treatment. There was no difference in the frequency of BCG and TB disease between patients with pathogenic variants of the X-linked CYBB gene versus recessive variants.

CONCLUSIONS: This report highlights the importance of considering TB in endemic areas and BCG complications in children with CGD to enable appropriate diagnostic and therapeutic approaches to improve prognosis and reduce the risk of relapse.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты